The effect of educational workshop on educational and informational skills of nurses in hospitals of Zahedan University of Medical Sciences, 2014

Background & Aims: Providing qualified care service with proper education and information for clients is promising.  Nurses are the primary providers of most health cares in the health system and they have a considerable power to affect the quality of health care. The purpose of this study is to assess the effect of educational workshop on educational and informational skills of nurses working in hospitals in Zahedan University of Medical Sciences. Materials & Methods: This research was conducted as semi-empirical with control group in April-May 2014. Samples included 181 nurses working in hospitals in Zahedan University of Medical Sciences. They were selected by random sampling from the list of nursing staffs in nursing office of aliIbn Abi Talib (98) and Khatam (83) hospitals. Questionnaire was developed based on expected skills for patient education. To determine the validity of the questionnaire, it was given to 8 experts and CVR and CVI were obtained as 0.93 and 0.89 and for reliability the Cronbach's alpha was 0.86. After the data collection phase, a workshop was held and after waiting two months, data was recollected. Results: The intervention increased scores of nurses, Informational skills 8% and educational skills 24%. Conclusion: Educational and informational skills, which are important factors in improving the quality of services delivery, can increase through effective educational interventions. &nbsp

Assessment of an educational intervention effectiveness on promoting menstrual knowledge and related health behaviors in female high school students in Khamir city in 2015-2016

Background and Aims: Puberty is a period of psychological, physical, mental, emotional and social growth in which the development of personality takes place. This study was aimed to determine the effect of an educational intervention on promoting the Knowledge and Menstrual Health Behaviors in female high school students at their first grade in Khamir city in 2015-2016.Materials and Methods: The present quasi-experimental study, along with a control group, was conducted  in female high school students in Khamir city. Totally, 120 eligible teen girls were involved in our study. The questionnaire consisted of three part: demographic information, awareness and health behaviors concerning puberty. The questionnaire was completed before and two months after the intervention. Thecontents of training was presented through lecture, group discussion with teaching aids such as booklets.Paired t-test and independent t-test were used for data analysis by SPSS22 Software. Ethical issues such as confidentiality of studied community were all considered.Results: It was found that the mean of Knowledge score increased from 11.81±2.60 to 17.48±2.18 after the educational intervention. Similarly, the mean of behavior score increased from 19.93±2.68 to 25.26±3.53 in the intervention group as compared with the control. Both findings were statistically significant (P<0/001).Conclusion: Health education played a statistically significant role in promoting the awareness and improving the behavior of students about their adolescent health. Thus, pubertal health education during menstruation should be emphasized to reform the health behaviors of girls during adolescence.Keywords: Health education, Knowledge, Behavior, Menstrual health, Female students, Khamir cit

The effectiveness of oral health education by peers on knowledge and performance of students in Zabol, Iran

Oral diseases are the extensive human diseases, especially among children and more than 99% of people suffer from this disease. Oral and dental education by peers provides a good condition to form the health behaviors before adulthood. The aim of this study was to investigate the effect of oral and dental education by peers on knowledge and behavior of first grade female students in Zabol, Iran. In this quasi-experimental study conducted in 2012, 287 female primary students were randomly selected and studied in Zabol. Pre-test and post-test performed with the completing a questionnaire that was designed to assess knowledge and behavior of brushing and using sodium fluoride mouthwash. The validity of the results was determined through expert panel and the reliability was determined by Cronbach`s alpha (N=30, a=0. 77). One person from each class in the intervention group was selected as a peer educator and was educated via an education plate. The post-test was performed after one month of education. For data analysis, descriptive and analytical tests (paired and independent t-test) in SPSS 18 software were used. There was a significant difference between the mean scores of two groups in knowledge and behavior after education, so that the mean score of knowledge and behavior of students who were educated by peers were higher than that of them before education (P<0.001). Oral and dental education of students by peers is a simple, inexpensive, and effective method which can be used by health system, truly

The effect of health education program on knowledge, attitude and performance in male primary school students regarding Tinea Capitis in Chabahar

Background and aim: In many parts of the world Tinea Capitis is a public health problem, especially in primary school children. The control of the disease is dependent on patients education for increasing their knowledge and health. The aim of this study was to evaluate on knowledge, attitude and performance in male primary school students regarding Tinea Capitis in Chabahar in 2007-2008. Methods: In this quasi-experimental (case – control) study, 115 primary school students were randomly selected from two primary school in the city of Chabahar. Students were assigned into two groups. Tools and data collection methods were included: questionnaire, check list and laboratory samples of scalp and hair. At the beginning of the research, a pre-test was performed on the students and according to the data obtained, an educational program were prepared and was performed for experimental group. Post-test was done after two months. Data was analyzed using chi-square, Mann-Whitney, Wilcoxon and McNemar tests. Results: The findings showed a significant increase in the knowledge, attitude, performance in experimental group (P<0.001). In addition, experimental group demonstrated a significant decrease in Tinea Capitis (P<0.01). The results of this study showed that there is a significant relationship between Tinea Capitis and weight, type of skin and parents education (P<0.05). Conclusion: The results of this research show that the risk of Tinea Capitis transmission is a public health problem and health education is a suitable response to this problem

Assessment of puberty health behaviour and it’s affecting factors in female secondary school students in Khamir city during 2015-2016

زمینه و اهداف: مهمترین تغییر و تحول مقطع نوجوانی که از اهمیت خاصی برخوردار است و به عنوان نقطه عطف زندگی نوجوان از آن یاد می‌گردد، بلوغ است. اين پژوهش با هدف تعيين رفتارهای بهداشتی دوران بلوغ و فاکتورهای موثر بر آن در دختران متوسطه اول شهر خمیر در سال تحصیلی 95-94 انجام شد. مواد و روش‌ها: اين مطالعه توصيفي‐ مقطعي است. نمونه‌ها شامل 260 دانش آموز دختر متوسطه اول در شهر خمیر بودند و نمونه‌گيري به صورت تمام شماری انجام شد. ابزار گردآوري اطلاعات، پرسشنامه بوده و تجزيه و تحليل داده‌ها به کمک نرم‌افزار SPSS 16، با استفاده از آزمون‌هاي آماري تي مستقل، آنالیز واریانس یکطرفه و ضريب همبستگي پيرسون انجام شد. تمام مراحل مطالعه حاضر با در نظر گرفتن موازین اخلاقی و پژوهشی اجرا گردید. یافته‌ها: ميانگين و انحراف معیار سني دانش آموزان (0/8) 13/8 سال و نیز سن قاعدگی (0/8) 12/4سال بود. سطح آگاهی در مورد بهداشت دوران بلوغ 65% از دانش آموزان در حد متوسط بود. همچنين اکثر دانش آموزان (81/9درصد) عملکرد متوسطی در این خصوص داشتند. نتایج نشان داد، بين ميزان آگاهي و عملکرد دانش آموزان در زمينه بهداشت دوران بلوغ ارتباط معني‌دار آماري وجود داشت (0/001&gt; = P- value). نتیجه‌گیری: به نظر می‌رسد عواملی نظیر فقدان آگاهی صحیح در مورد بهداشت دوران قاعدگی، منجر به ایجاد عملکردهای غلط در این دوران شده باشد. مطالعه حاضر نشان داد، رفتارهای بهداشتی دوران بلوغ دانش آموزان در سطح متوسط است؛ از این رو، آموزش بلوغ جهت اصلاح رفتارهای بهداشتی دختران در دوران بلوغ، پیشنهاد می‌گردد.Background and Aims: Puberty in the most important evaluation during adolescence. This evolutionary change is referred to as a turning point of an adolescence. The present study was aimed to determine puberty heath behaviour and its affecting factor among girl students of khamir city at their first year of high-school in 2015 -2016.Materials and methods: During this cross sectional study, totally 260 secondary school students were sampled in Khamir city. The sampling was done in full. The data were collected through questionnaires and statistical analysis was performed using SPSS 16 software through independent t-test, ANOVA and Pearson correlation coefficient.Results: The mean and standard deviation of respondent’s age were 13.8 and 0.8 years, respectively. The first menstrual period (menarche) happened around an average (±standard deviation) age of 12.42 (±0.8).About 65% of students were moderately aware about puberty health . Also, the majority of students (81.9%) produced a moderate performance in their adulthood. The results further showed a statistically significant relationship between knowledge and behavior of students with regard to adolescent health (P&lt;0/001).Conclusion: It seems that students’ performance in the first menstrual period was influenced by factors such as lack of proper awareness about menstrual hygiene. This study revealed that adolescent health behaviour of students was at the intermediate level. Thus the implementation of health education programs is suggested to modify the health behaviour of girls during puberty

The Examination of the Effectiveness of an Educational Intervention based on the Planned Behavior Theory on Improving Pubertal Health Behavior in Female High School Students

Background: Puberty is a period of psychological, physical, mental, emotional and social growth that stability and development of personality occurs in this period. This study aimed to determine the effect of planned behavior theory on improving pubertal health behavior in female first grade high school students. Materials and Methods:  A quasi-experimental intervention was conducted in female high school in Khamir city, Iran in 2015. One of the schools were randomly assigned to the control group and other to the experimental group. Using the formula sample, 60 students were selected from each school. Samples were evaluated in two stages through pre-test and two months later via post-test by administered questionnaire including questions about demographic characteristics and structures of planned behavior theory. The content of training was presented through lecture group discussion with teaching aids such as booklet and pamphlet. The collected data were analyzed using SPSS version 22. Results: The intervention group mean age at first menstrual period was 12.30 ± 0.84 years old and for control group was 12.25 ± 0.79 years old. The results showed that two months after the intervention, health behaviors, subjective norms, behavioral intention, perceived behavioral control, and attitude, were significantly higher than pre- intervention (

Analysis of the Effect of Training on the Health Literacy, Awareness and Behavior of Diabetic Type II Patients, Referring to the Clinics of Zahedan within 2014

The diabetic patients with low health literacy have more problems for understanding their disease and less participate in the self-care and blood sugar controlling activities. This study aims to determine the effect of training intervention on health literacy of diabetic type II patients referring to clinics (Imam Ali, Aliasghar and Khatam) of Zahedan. This study was a randomized controlled research that applied on 160 patients suffering from diabetes type II which classified in two intervention and control groups based on block random allocation. The data was collected by a valid questionnaire that before training was filled by two groups. The intervention group received a training session 45-60min as 8-person groups. 2 months (60 days) after training intervention, the both intervention and control groups filled the relative questionnaire again. SPSS v. 16 and statistical tests including independent t-test and chi square were used for analysis of data. No significance difference in awareness, behavior and health literacy was observed between two groups, before intervention; but, after intervention, mean values of awareness, behavior and health literacy in trained group was significantly higher than control group. In addition, after training the statistical test of independent t-test, significant difference was shown in change of skill score of accessibility to the information (p=0.008) and understandability of reading (p&lt;0.0001) in the intervention group in comparison to control group. The results of this study indicated that even holding one training session for the diabetic patients may be followed by increment of health literacy 10%. Providing the training plan in simple language with high readability and accessibility to health information improves the health literacy, awareness and behavior of diabetic patients. And improve diabetic patients' health literacy leads to better results in the control and treatment of diabetes

Baseline results of the first malaria indicator survey in Iran at household level

<p>Abstract</p> <p>Background</p> <p>Malaria is one of the leading causes of sickness and death in the developing world, causing more than a million deaths and around 250 million new cases annually worldwide. The aim of this comprehensive survey was to provide information on malaria indicators at household level in high-risk malaria areas in Iran.</p> <p>Methods</p> <p>In a cluster randomized cross-sectional survey data were collected from 5,456 households in both rural and urban areas of 20 malaria-affected districts of Iran. All the fieldwork was done by trained interviewers and a validated questionnaire. The questionnaire comprised baseline characteristics of the study population, the knowledge of people about different aspects of malaria (such as clinical symptoms, transmission and prevention) and their practice to prevent illness (such as using mosquito nets, spraying houses). The data were analysed and descriptive statistics (i.e. frequencies, percentages) were used to summarize the results.</p> <p>Results</p> <p>The results of this survey showed that 20% (95% CI: 17.36 - 22.24) of households owned at least one mosquito net, whether treated or untreated. Consequently, the use of mosquito nets was considerably low among both children under age five [5.90% (95% CI: 5.14 - 6.66)] and pregnant women [5.70% (95% CI: 3.07 - 8.33)]. Moreover, less than 10% of households reported that the interior walls of their dwelling had been sprayed in the previous year [8.70% (95% CI: 6.09 - 11.31)]. Data also suggest that 63.8% of the participants recognized fever as a sign of malaria, 56.4% reported that mosquito bites cause malaria and about 35% of participants mentioned that the use of mosquito nets could prevent malaria.</p> <p>Conclusion</p> <p>Findings from this study indicate that low access to treated nets along with low understanding of the role of nets in malaria prevention are the main barriers to utilization of bed nets. Therefore, the use of insecticide-treated mosquito nets should be encouraged through health education on the importance of the use along with increasing access to it.</p

Baseline results of the first malaria indicator survey in Iran at the health facility level

<p>Abstract</p> <p>Background</p> <p>Malaria continues to be a global public health challenge, particularly in developing countries. Delivery of prompt and effective diagnosis and treatment of malaria cases, detection of malaria epidemics within one week of onset and control them in less than a month, regular disease monitoring and operational classification of malaria are among the major responsibilities of the national malaria programme. The study was conducted to determine these indicators at the different level of primary health care facilities in malaria-affected provinces of Iran</p> <p>Methods</p> <p>In this survey, data was collected from 223 health facilities including health centres, malaria posts, health houses and hospitals as well as the profile of all 5, 836 recorded malaria cases in these facilities during the year preceding the survey. Descriptive statistics (i.e. frequencies, percentages) were used to summarize the results and Chi square test was used to analyse data.</p> <p>Results</p> <p>All but one percent of uncomplicated cases took appropriate and correctly-dosed of anti-malarial drugs in accordance to the national treatment guideline. A larger proportion of patients [85.8%; 95% CI: 84.8 - 86.8] were also given complete treatment including anti-relapse course, in line with national guidelines. About one third [35.0%; 95% CI: 33.6 - 36.4] of uncomplicated malaria cases were treated more than 48 hours after first symptoms onset. Correspondingly, half of severe malaria cases took recommended anti-malarial drugs for severe or complicated disease more than 48 hours of onset of first symptoms. The latter cases had given regular anti-malarial drugs promptly.</p> <p>The majority of malaria epidemics [97%; 95% CI: 90.6 - 100] in study areas were detected within one week of onset, but only half of epidemics were controlled within four weeks of detection. Just half of target districts had at least one health facility/emergency site with adequate supply and equipment stocks. Nevertheless, only one-third of them [33% (95% CI: 0.00 - 67.8)] had updated inventory of malaria foci on quarterly basis.</p> <p>Conclusion</p> <p>To sum up, malaria case management still constitutes a public health problem in Iran. Additionally, data suggest scarcity in management and evaluation of malaria foci, detection and control of malaria epidemics as well as assignment of emergency sites across different regions of the country. Consequently, massive and substantial investments need to be made at the Ministry of Health to coordinate national malaria control programmes towards achieving determined goals and targets.</p

Bibliometric and Content Analysis of Scientific Outputs Relevant to Health Education and Promotion in Iran during 1998-2011

Background: Since the aim of health research is to improve the quality of community life, the results obtained from these research could be used in health policies and practices. Therefore, the aim of this study was to evaluate the bibliometric and content analysis of research relevant to health education and promotion performed in Iran during 1998-2011. Methods: This is a descriptive content analysis study. Data were collected from online databases (IranMedex, Medlib, SID, ISI, and PubMed), and all published articles relevant to health education and promotion in Iran up to the end of March 2011 were included in this study. In order to do content analysis a researcher-made checklist approved by experts was used for identifying the variables. Data was entered into SPSS 21 and descriptive statistics and percents were calculated. Results: From 1227 documents retrieved, 817 were published in Persian and 410 in English. A great share of retrieved documents belonged to the articles published in the scientific journals (87.4%). Mental health (10.7%), family planning and reproductive health (10.2 %), and chronic non-communicable diseases (10.2%) were the most frequent subject areas in research relevant to health promotion, respectively. Most of the studies were cross-sectional (52.1%), the most widely used method was simple random sampling (27.7%), and most of the studies were performed locally in provinces (83.7%). Conclusion: Doing more studies by outlining the exact perspective of health promotion research in Iran and comparison of the current status of Iran with that of other countries are recommended